| NPI | 1982144408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600741-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161888) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61434170) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2024-08-21 |